| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
4,489 |
3,669 |
$229K |
| E0601 |
Cont airway pressure device |
593 |
510 |
$19K |
| E0470 |
Rad w/o backup non-inv intfc |
255 |
219 |
$12K |
| E0431 |
Portable gaseous 02 |
1,112 |
905 |
$11K |
| E0562 |
Humidifier heated used w pap |
21 |
13 |
$2K |
| A7038 |
Pos airway pressure filter |
406 |
301 |
$1K |
| E1392 |
Portable oxygen concentrator |
111 |
94 |
$975.12 |
| A7037 |
Pos airway pressure tubing |
99 |
73 |
$834.42 |
| A7035 |
Pos airway press headgear |
71 |
53 |
$646.02 |
| A7046 |
Repl water chamber, pap dev |
16 |
14 |
$83.56 |